title: Mitral valve damage after an aortic balloon valvuloplasty in an infant.
abstract: The case of a 2-year-old infant admitted to our Institution with a diagnosis of severe aortic valve stenosis is presented. After a balloon valvuloplasty with no results in terms of gradient reduction, an echocardiogram showed a moderate mitral regurgitation. The patient underwent surgical repair of both the aortic and mitral valves. Inspection of the mitral valve showed a 5-mm hole in the posterior leaflet at the P2 scallop. Probably, the dilation tore a secondary cord, pulling away a piece of the leaflet. A quadrangular resection was performed with good results.
authors.affiliation: Department of Congenital and Paediatric Cardiac Surgery and Cardiology, Ospedali Riuniti, Via conca 71, 60020, Ancona, Italy, filippocapestro@libero.it.
authors.forename: Filippo
authors.initials: F
authors.lastname: Capestro
authors.forename: Andrea
authors.initials: A
authors.lastname: Quarti
authors.forename: Marco
authors.initials: M
authors.lastname: Pozzi
mesh_terms: D001024:Aortic Valve Stenosis / Q000628:therapy*; D001027:Aortography; D002404:Catheterization / Q000009:adverse effects*; D002675:Child, Preschool; D003937:Diagnosis, Differential; D004452:Echocardiography; D006801:Humans; D008943:Mitral Valve / Q000293:injuries* / Q000601:surgery; D008944:Mitral Valve Insufficiency / Q000175:diagnosis* / Q000601:surgery